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Electronic Visit Verification
Electronic Visit Verification, or EVV, is a requirement under the 21st Century Cures Act, a federal law passed in December of 2016. Under the 21st Century Cures Act, states must implement an electronic system to verify certain home and community based services were delivered in order to continue receiving federal financial support toward the costs of those services.

Federal law, Subsection l of Section 1903 of the Social Security Act (42 U.S.C. 1396b), requires all states to implement EVV for Medicaid-funded personal care services by January 2020 and home health care services by January 2023. States can select and implement their own EVV design. However, the EVV system must verify: type of service performed; individual receiving the service; date of the service; location of service delivery; individual providing the services and time the service begins and ends.

Which programs will be impacted by EVV in New Hampshire?
EVV will impact all personal care services and home health care services provided under the state plan and four Home and Community-Based Service (HCBS) waivers.
State plan personal care services and home health care services are predominately managed by the three NH Medicaid Care Management organizations. A small number of recipients still receive services under Medicaid Fee-for-Service, which are paid through the Medicaid Management Information System. Those stakeholders include:

  • AmeriHealth Caritas New Hampshire
  • New Hampshire Healthy Families
  • Well Sense Health Plan
  • Medicaid Management Information System – Conduent

The NH Division of Long Term Services and Supports administers personal care services and home health care services provided under Medicaid Home and Community-Based Service (HCBS) programs. Impacted HCBS programs include:

  • Acquired Brain Disorder (ABD) Waiver
  • Choices for Independence (CFI) Waiver
  • Developmental Disabilities (DD) Waiver
  • In Home Support (IHS) Waiver for Children with Developmental Disabilities

The NH Bureau of Improvement and Integrity – Program Integrity Unit is charged with monitoring financial claims for NH's Medicaid plan. The Program Integrity Unit will be responsible for monitoring EVV compliance.

EVV Implementation
New Hampshire plans to work with our stakeholder community in the first half of 2020 to identify New Hampshire specific EVV design and program requirements. Those requirements will be utilized to procure the information system components needed to implement EVV.

At this time, NH is planning to implement an Open Vendor/Hybrid EVV Design Model. This model gives flexibility to the State to contract with a single EVV vendor, but allows providers and MCOs to use other vendors. The State EVV system could be used by providers that do not have their own EVV solution and will aggregate EVV data from multiple sources for use prior to claims payment.

NH will seek a CMS good faith exemption request to delay implementation until January 1, 2021. New Hampshire is in the process of contracting with a consultant to assist with stakeholder engagement and identifying EVV business and systems requirements that will be utilized as the foundation for a future Request for Proposal (RFP) to procure EVV technology and services. This process is scheduled to run through the summer of 2020.

Stakeholder Engagement
New Hampshire is committed to the full involvement of recipients, family caregivers, providers and other stakeholders in the planning and implementation of EVV. Beginning in early 2020, stakeholder meetings and surveys will be held to obtain feedback from the stakeholder community, identify best practices, and identify needs/requirements to implement EVV.

This website will be updated as the statewide stakeholder meetings are scheduled. If you would like to be included in the EVV distribution list, please send this information to EVV@dhhs.nh.gov:

  • Name
  • Identify your role in EVV (e.g., service recipient, service provider, advocacy group)
  • Organization/Company you represent (if applicable)
  • Email address

Guiding Principles
EVV is guided by the following principles:

  1. New Hampshire’s approach to EVV will be consistent with federal law.
  2. EVV will be developed through a collaborative stakeholder process.
  3. EVV will be developed in a manner that respects recipients and providers, does not alter their Olmstead protections and is minimally burdensome.
  4. EVV will not change the number of service hours, nor how or where services are delivered.
  5. Existing information systems will be leveraged for EVV.
  6. Providers, recipients and other stakeholders will be trained on the use of the EVV system.

Please email EVV@dhhs.nh.gov with questions regarding the EVV implementation.

 
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New Hampshire Department of Health and Human Services
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